PAEDERUS DERMATITIS: A CLINICAL, EPIDEMIOLOGICAL AND THERAPEUTIC STUDY OF 417 CASES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 17
Abstract
[b]INTRODUCTION:[/b] Paederus dermatitis is an acute irritant contact dermatitis caused by accidental crushing of an insect belonging to the genus Paederus. We came across an epidemic cluster of paederus dermatitits cases in our campus which prompted us to undertake this study to know its clinical manifestations, epidemiology and the most effective topical therapy. [b]METHODS:[/b] The study included all clinically diagnosed cases of paederus dermatitis who were subjected to a thorough history and dermatological examination. Comparative assessment of efficacy of three commonly advised topical treatments was done by dividing patients into 3 age and sex matched groups: Group A (topical steroid), Group B (topical antibiotic) and Group C (topical steroid and antibiotic combination). All patients were followed up after 7 days, 15 days and 1month. Polythene bags were used to collect insect specimens and species identification was done. [b]RESULTS: [/b]Students residing in various hostels accounted for 251 cases (60.19%) whereas inhabitants of villages accounted for 101 cases (24.22%). Majority of the cases occurred during the summer months of April (90 cases), May (131 cases) and June (72 cases). Moist surroundings, dense vegetations and paddy or sugarcane fields were noticed close to the residences of affected patients. Head and neck were the most commonly affected site (38.60%) followed by the upper extremity (24.40%).Group C patients who used a combination of topical steroid and antibiotic healed fastest with a mean duration of 8.4 days whereas Group A patients and Group B patients had a mean healing time of 12.9 days and 14.7 days respectively. Paederus extraneus and Paederus melampus were identified as the commonest species in this locality. [b]CONCLUSION: [/b]We observed that topical steroid and antibiotic combination is more effective than topical steroid and topical antibiotic alone. Prevention of human-insect contact acts as a hindrance for the development of Paederus dermatitis which can be achieved by increased public awareness.
Authors and Affiliations
Gopal K. V. T
Keywords
Related Articles
- EP ID EP133026
- DOI 10.14260/jemds/2014/2504
- Views 82
- Downloads 0
A CLINICAL AND BACTERIOLOGICAL STUDY OF PRIMARY PYODERMAS IN CHILDREN
BACKGROUND Primary pyodermas are important and common public health problem in all sectors of the society, especially among the lower stratum in developing countries. This study was undertaken with the primary aims of st...
INTERLAMINAR ENDOSCOPIC DISCECTOMY: MINIMALLY INVASIVE PROCEDURE, A SERIES REPORT
[b]BACKGROUND[/b]: The upright posture of humans throws enormous stress on spine, particularly during flexion and is responsible for many structural causes of backache such as lumbar disc prolapsed. Various modaliti...
GASTRIC OUTLET OBSTRUCTION- CLINICAL PRESENTATIONS AND ITS SURGICAL MANAGEMENT
BACKGROUND Gastric outlet obstruction (GOO) mechanically impedes gastric emptying, normal emptying of the stomach. It is a diagnostic and therapeutic challenge for general surgeons in their daily practice. This paper hig...
PATTERN OF SALIVARY GLAND TUMOURS IN A TERTIARY CARE HOSPITAL IN NORTH EASTERN INDIA
BACKGROUND Though rare, salivary gland tumours represent 6% of all head and neck neoplasm. 1 These tumours got so much important because of their diverse array of clinical presentation, behaviour, histopatholog...
EPIDEMIOLOGICAL AND PATHOLOGICAL STUDIES OF GALLSTONE DISEASE IN PATIENTS OF LUCKNOW REGION
BACKGROUND Gallstone disease is the most common gastrointestinal problem associated with gallbladder affecting millions of people throughout the world. The gallstones are solid crystalline precipitates in the biliary tra...